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Care Coordination Services

CareTran™ Care Coordination Services reduce costly readmissions by ensuring patient discharges and care transitions are accomplished effectively and safely.

  • Poor patient compliance with discharge instructions and lack of care coordination leads to costly readmissions
  • Medicare, Medicaid and private insurance are ceasing to pay for preventable readmissions
  • Transiton of care programs can be inexpensively implemented through process automation solutions such as LeanVista’s CareTran™ program

CareTran™ is committed to process and tool excellence in the promotion of higher quality healthcare, improved patient outcomes and lowered costs through Care Coordination Services. The goal is to ensure that the hospital discharges are accomplished appropriately and that care transitions between providers occur effectively and safely.

The U.S. Government defines the term “Care Transitions” as referring to the movement of patients from one health care provider or setting to another. For people with serious and complex illnesses, transitions in setting of care–for example from hospital to home or nursing home, or from facility to home- and community-based services– have been shown to be prone to errors.

Nearly one in five Medicare patients discharged from the hospital is readmitted within 30 days. This translates to approximately 2.6 million seniors at a cost of over $26 billion every year.  Readmission rates are also high for patients covered by Medicaid and private insurance.

Medication errors, poor communication, and poor coordination between providers from the inpatient to outpatient settings, along with the rising incidence of preventable adverse events, have drawn national attention. Health care providers and community-based organizations are aware of the negative effects of poor patient care transitions. But many struggle with fragmentation and lack of collaboration across settings, limited resources, and an expanding aging population with multiple chronic conditions. New thinking about process is needed.

“It’s about creating a sustainable healthcare industry,” said Bruce Johnson, CEO of supply chain management company GHX. “Unlike most industries, healthcare is two-dimensional: delivering high-quality care to save lives while running efficient businesses. At the core, healthcare reform is driven by the need to reduce costs while delivering care of the highest quality.” The business of healthcare needs to change, continued Johnson, to deliver cost-efficient and effective business processes. “It’s all about quality and access — and quality can be improved by healthcare businesses working together to standardize and streamline their processes.”

Bart Stupak, former Michigan congressman, said now that the Affordable Care Act Supreme Court ruling has been made, “the focus within the executive branch, in the states, and throughout the healthcare industry will be on developing and implementing the programs as quickly as possible.” The demand for healthcare is about to explode as baby boomers continue to age. “It will be critical for all parties involved in the healthcare system — providers, hospitals, insurers, and the government — to innovate and develop methods for reducing the costs of delivering quality healthcare,”Stupak added, “so the country will be able to afford expansion.”

Care Coordination Services help you take your patient satisfaction and budget efficiency to the next level.

Sources – www.healthcare.gov, Healthcare IT News